Being an Executive is a lonely job. Not a day without decisions to be taken, from operational to strategic. Always with lots of (too much) supporting abstract data but not nearly enough relevant business information. Customer and Board pressure is a given thing; pressure from your own MT and organization often a disturbing surprise.

When it is decided that things have to change, it is sometimes difficult to get it done by the same manager that was part of the problem. Sometimes it is just better to have a fresh power that can execute, take the burden op the pain around a change and can hand over the new desired situation to a more permanent manager.

Process execution is the key to good or bad company results. When results are lagging, focused analysis, clear decisions and strong implementation are required to getting up to par again stop “bleeders” in time. Unlike other management consultants we don’t address this by writing thick reports and spending unlimited hours.

In 2010 the Delft Reinier de Graaf hospital (RDGG) wrote in their Medical Strategic Policy plan 2010-2016 that they have the vision, and the mission (!) to be the best hospital in the Netherlands by 2016. Such a statement gives me a lot of energy! But, how do they manage this?

Governance Risk, and Compliance (GRC) implementations are necessary, but expensive. Therefore managers do not look very favorable upon GRC improvement projects. But did you ever calculated the gains of many small sustainable improvements? Many small, cheap, and fast improvements lead gradually to sustainable big gains, with little risk!

It is a myth that using Key Performance Indicators does not work for not-for-profit operations. But it is remarkable how few not-for-profit operations use metrics to judge and manage their own performance, let alone sensible ones. Especially when we apply the rationale behind Key Business Indicators, it is clear that for every organization these controls can serve a purpose in making sure that your organizations outputs meets what your “customers" want.